십이지장 구부에 발생한 심재성 낭종성 장염에서 지방종을 동반한 1예

초록

Enteritis cystica profunda (ECP) is a very rare hyperplastic benign lesion of the small intestine. Histologically, it is characterizedby mucin-filled cystic spaces frequently lined by benign epithelium within the submucosa and muscularis propria. ECP occursmuch less frequently than gastritis cystica profunda (GCP) or colitis cystica profunda (CCP). It is most often seen in adults withCrohn’s disease, Peutz-Jeghers syndrome, hamartomatous polyp, or congenital anomalies. We encountered a case of ECP (90 × 15mm) accompanied by an elongated lipoma in the duodenal bulb, in the absence of any other disease. An endoscopic polypectomyproved sufficient for diagnosing and treating the ECP. To our knowledge, this is the first reported case of ECP accompanied by alipoma in the duodenal bulb in the absence of any other intestinal disease.

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